Commercial driver medical examinations: prevalence of obesity, comorbidities, and certification outcomes

Details

• Personal Author:
  Hanowski RJ ; Hegmann KT ; Kales SN ; Moffitt G ; Porter RJ ; Thiese MS
• Description:
  Objective: The objective of this study was to assess relationships between body mass index (BMI) and comorbid conditions within a large sample of truck drivers. Methods: Commercial driver medical examination data from 88,246 commercial drivers between 2005 and 2012 were analyzed for associations between BMI, medical disorders, and driver certification. Results: Most drivers were obese (53.3%, BMI >30.0 kg/m2) and morbidly obese (26.6%, BMI >35.0 kg/m2), higher than prior reports. Obese drivers were less likely to be certified for 2 years and more likely to report heart disease, hypertension, diabetes mellitus, nervous disorders, sleep disorders, and chronic low back pain (all P < 0.0001). There are relationships between multiple potentially disqualifying conditions and increasing obesity (P < 0.0001). Morbid obesity prevalence increased 8.9% and prevalence of three or more multiple conditions increased fourfold between 2005 and 2012. Conclusions: Obesity is related to multiple medical factors as well as increasing numbers of conditions that limit driving certification. [Description provided by NIOSH]
• Subjects:
  Automobiles Blood Body Weight Cardiovascular Diseases Cardiovascular System Hematologic Diseases Morbidity Musculoskeletal Diseases Nervous System Diseases Occupational Health Safety Sleep Sleep Initiation And Maintenance Disorders Surveys And Questionnaires Transportation

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• Keywords:
  Back-injuries Biological-effects Blood-sugar-disorders Body-weight Cardiac-function Cardiovascular-system-disorders Drivers Heart Hypertension Medical-examinations Medical-surveys Morbidity-rates Nervous-system-disorders Sleep-deprivation Sleep-disorders Transportation-industry Truck-drivers Trucking Weight-factors Worker-health

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• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Arkansas ; Massachusetts ; OSHA Region 1 ; OSHA Region 3 ; OSHA Region 6 ; OSHA Region 8 ; Utah ; Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  57
• Issue:
  6
• NIOSHTIC Number:
  nn:20046312
• Citation:
  J Occup Environ Med 2015 Jun; 57(6):659-665
• Contact Point Address:
  Matthew S. Thiese, PhD, Rocky Mountain Center for Occupational & Environment Health, Department of Family and Preventive Medicine, School of Medicine, University of Utah, 391 Chipeta Way, Ste C, Salt Lake City, UT 84108
• Email:
  matt.thiese@hsc.utah.edu
• Federal Fiscal Year:
  2015
• NORA Priority Area:
  Transportation, Warehousing and Utilities
• Performing Organization:
  University of Utah
• Peer Reviewed:
  True
• Start Date:
  20110901
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20140831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:50fda2874fd64fb2506d1b7529132629b2b56683873ec0ccd8883ce3925f9080eb62c3e8d8292d8404043bad2d73cb39d0043fb281300994c12d0c383bbab944
• Download URL:
  https://stacks.cdc.gov/view/cdc/201410/cdc_201410_DS1.pdf
• File Type:
  [PDF - 247.79 KB ]